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American Association of Critical-Care
Nurses AACN
AACN Adult-Gerontology Acute Care Nurse
Practitioners ACNP-AG
AACN Certification ACNPC-AG Exam
Course Title and Number: AACN Certification ACNPC-AG Exam Exam Title: ACNPC-AG Exam Date: Exam 2025- 2026 Instructor: ____ [Insert Instructor’s Name] _______ Student Name: ___ [Insert Student’s Name] _____ Student ID: ____ [Insert Student ID] _____________
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AACN Certification Exam Review AACN American
Association of Critical-Care Nurses Review Questions and
Answers | 100% Pass Guaranteed | Graded A+ |
AACN Certification Corporation's ACNPC-AG Exam
Adult-Gerontology Acute Care Nurse Practitioners
ACNP-AG - AACN
American Association of Critical-Care Nurses
Read All Instructions Carefully and Answer All the Questions Correctly Good Luck: - What is the recommended treatment for symptom management in myasthenia gravis? - =Answer>> Pyridostigmine bromide Which two tumor markers are used to monitor response to treatment and detect recurrence of testicular germ cell cancer? - =Answer>> beta-human chorionic gonadotropin (b-hCG) and alpha-fetoprotein (AFP) Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱 Click Here To <> Follow Link
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📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com artery due to pressure from the tracheostomy tube or balloon (if present). Any bleeding noted in the airway or around the stoma more than 48 hours after tracheostomy is concerning for tracheoinnominate artery fistula. A small, self-limiting sentinel bleed often precedes massive, life- threatening hemoptysis by a few hours. Initial management should include increasing cuff pressure in an effort to tamponade. Next, the patient should be intubated to confirm a secure airway. After intubation, the tracheostomy may be removed and manual pressure can be applied to the innominate artery against the posterior sternum to control the bleeding Diagnosing a PE - =Answer>> CT with contrast is gold standard. if Pt has renal disease use V/Q (ventilation perfusion) scan instead Charcot's Triad - =Answer>> RUQ pain, fever, jaundice (indicates cholangitis) Reynold's pentad - =Answer>> RUQ pain, fever, jaundice, AMS, hypotension (indicates worsening cholangitis) Murphy's sign - =Answer>> pain with palpation of the RUQ during inspiration, indicative of cholecystitis Psoas sign - =Answer>> RLQ pain with extension of right thigh/hip indicative of appendicitis Kehr's sign - =Answer>> Left shoulder pain caused by irritation of the undersurface of the diaphragm by blood Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com leaking from a ruptured spleen. While Kehr's sign (left shoulder pain) is commonly a symptom of splenic rupture, right shoulder pain typically signals liver or gallbladder irritation Cullen's sign - =Answer>> Ecchymosis in periumbilical area, seen with pancreatitis Grey Turner's sign - =Answer>> Atraumatic ecchymosis in the flank, typically indicating hemorrhagic pancreatitis Beck's triad - =Answer>> JVD, muffled heart sounds, decreased BP (indicate cardiac tamponade) Cushing's triad - =Answer>> bradycardia, bradypnea, hypertension (indicate increased ICP; normal ICP=5-15 mm Hg) Charcot's neurologic triad - =Answer>> Nystagmus, staccato speech, intentional tremor (indicate MS) Virchow's triad - =Answer>> Venous stasis, hypercoagulability, endothelial damage (high risk of thrombosis) Shock Triad - =Answer>> Hypotension, tachycardia, tachypnea Opioid Poisoning Triad - =Answer>> CNS depression (AMS, coma), respiratory depression, miosis (pinpoint pupils) Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com Reactive arthritis rhyme - =Answer>> Can't see (conjunctivitis), can't pee (urethritis or cervicitis), can't climb a tree (arthritis) Murphy's Triad - =Answer>> RLQ pain, nausea/vomiting, fever (indicates appendicitis) Acidosis vs Alkalosis - =Answer>> ROME: Respiratory - Opposite Acidosis: pH is down, pCO2 is up Alkalosis: pH is up, pCO2 is down Metabolic - Equal Acidosis: pH is down, pCO2 is down Alkalosis: pH is up, pCO2 is up ACE Inhibitors - =Answer>> "PRIL" Captopril, Enalapril, Afosiopril Antihypertensive. Blocks ACE in lungs from converting angiotensin I to angiotensin II (powerful vasoconstrictor). Decreases BP, Decreased Aldosterone secretions, Sodium and fluid loss. Check BP before giving (hypotension) *Orthostatic Hypotension ARBs - =Answer>> "SARTAN" Angiotensin II receptor blockers They decrease blood pressure, increase CO -Examples: Valsartan (Diovan), Losartan (Cozaar), and Irbesartan (Avapro) Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com -Uses: hypertension and heart failure -Nursing Considerations: watch for hyperkalemia, hypotension, and renal dysfunction Cholesterol Medications end in - =Answer>> -statin Beta blockers end in - =Answer>> -olol Calcium Channel Blockers end in - =Answer>> -dipine (and verapamil and diltiazem) 5 P's of compartment syndrome - =Answer>> Pain, pallor, pulselessness, paresthesia, paralysis Hypoglycemia rhyme - =Answer>> Cold and clammy, need some candy "TIRED" T: tachycardia I: irritable R: restlessness E: excessive hunger D: diaphoresis Hyperglycemia rhyme - =Answer>> Hot and dry, sugar high 3 Ps Polyphagia, polydipsia, polyuria WBC range - =Answer>> 4.5-11 x 10^3/uL RBC range - =Answer>> Male: 4.5 - 5.5 x 10^6/uL Female: 4 - 5 x 10^6/uL Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com Med taken to treat acute gout attacks and FMF - =Answer>> Colchicine C. diff treatment - =Answer>> stop antibiotic Oral vancomycin or fidaxomicin Amylase range - =Answer>> 25-125 IU/L Lipase range - =Answer>> 10-180 IU/L Total protein - =Answer>> 6.0-8.3 g/dL Albumin - =Answer>> 3.5-5 g/dL Total bilirubin - =Answer>> 0.1-1.0 mg/dL Sodium range - =Answer>> 135- Potassium range - =Answer>> 3.5-5. Calcium range - =Answer>> 8.5-10. Magnesium range - =Answer>> 1.5-2. Phosphorus range - =Answer>> 2.5-4. Glucose range - =Answer>> 60- BUN range - =Answer>> 7- Creatinine range - =Answer>> 0.6-1. Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com Bicarbonate - =Answer>> 22- Alkaline phosphatase (part of LFTs) - =Answer>> 30- IU/L ALT (alanine transaminase) (part of LFTs) - =Answer>> 1- IU/L AST (aspartate transaminase) (part of LFTs) - =Answer>> 1- 45 IU/L AST:ALT ratio in alcoholic liver disease - =Answer>> >2: McBurney's point - =Answer>> A point on the right side of the abdomen, about two-thirds of the distance between the umbilicus and the anterior bony prominence of the hip GFR (glomerular filtration rate) range - =Answer>> 90- mL/min (renal function) Creatine Kinase (CK) - =Answer>> 30-190 U/L Lactate Normal Value/Range: - =Answer>> 0.5-1.5 mmol/L
2 mmol/L = hyperlactatemia 4 mmol/L = lactic acidosis PR interval (atrial depolarization/contraction) - =Answer>> 0.12-0.20 sec Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com creatinine levels, decreased urine sodium excretion, and increased urine osmolarity. It's the rapid deterioration in kidney function in individuals with cirrhosis or fulminant liver failure. HRS is usually fatal unless a liver transplant is performed, although dialysis and AMO treatment can buy time. Two forms of hepatorenal syndrome have been defined: Type 1 HRS entails a rapidly progressive decline in kidney function, while type 2 HRS is associated with ascites that does not improve with standard diuretic medications. Dexmedetomidine hydrochloride (Precedex) - =Answer>> An alpha-2-adrenergic agonist for treatment of patients with delirium. It does not suppress respiratory drive. It is currently recommended by the Society of Critical Care Medicine for pharmacologic management of delirium that is not caused by alcohol or benzodiazepine withdrawal Exudative pleural effusion lab values - =Answer>> The pleural effusion fluid has at least one of the following:
- LDH more than 2/3 the upper limit of normal LDH (280) or
- LDH effusion / LDH serum > 0.6 or
- Total protein of effusion / Total Protein of serum > 0. Transudative pleural effusion lab values - =Answer>> Pleural fluid glucose equal to serum glucose, pleural fluid pH 7.40-7.55, and less than 1000 WBC/mcL Chylous effusion - =Answer>> Effusion with white, milky appearance that has a high triglyceride count and mature lymphocytes; caused by damage to thoracic duct Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com Cerebroselective CCB that improves cerebral perfusion pressure (CPP) and thereby decrease morbidity and mortality in patients with SAH - =Answer>> Nimodipine Nitroglycerin should be used cautiously with which MI? - =Answer>> Inferior wall MI First line therapy for HTN - =Answer>> Thiazide diuretics (hydrochlorothiazide, chlorthalidone). Then ACEI, ARBS (less effective for POC). Then CCBs. Minimum urine output per hour - =Answer>> 30 mL/hour (approximately 0.5 mL/kg/hr) oliguria - =Answer>> Decreased urine output Inotrope - =Answer>> substance affecting muscle contraction. Positive inotropes increase myocardial contractility, while negative inotropes decrease myocardial contractility. Chronotrope - =Answer>> substance that changes heart rate Preload - =Answer>> The amount of stretch experienced by cardiac muscle cells, called cardiomyocytes, at the end of ventricular filling during diastole. Preload is directly related to ventricular filling (think of blowing up a balloon; the more air, the more stretch). Afterload - =Answer>> The amount of resistance to ejection of blood from the ventricle. The pressure that the left Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com Cardiac Index (CI) - =Answer>> Amount of blood pumped by heart, per minute, per square meter of patient's body surface area. Normal = 2.5-4 L/min/m^ IABP (intra-aortic balloon pump) counterpulsation - =Answer>> Temporary catheter balloon threaded up through descending aorta, synchronized with person's heart rhythm. Indicated during cardiogenic shock, or if there is a severe degree of left main coronary artery (LMCA) stenosis with low LV ejection fraction discovered during PCI and CABG is anticipated. Balloon that sits in the aorta and inflates and deflates with helium. Timed to the cardiac cycle using a trigger (usually the EKG) IAB inflation during diastole forces blood into the coronary arteries (they fill during diastole). Deflation immediately prior to systole creates a vacuum effect which "unloads" the LV. Patient must remain nearly flat in bed at all times. Aortic insufficiency (aortic regurg) disqualifies you for IABP bc it relies on a fully functioning aortic valve. 4 types of shock - =Answer>> Hypovolemic, cardiogenic, distributive, obstructive Cardiogenic shock definition and causes - =Answer>> Heart can't adequately pump blood, therefore poor blood output. Common causes: acute MI, acute heart failure, dysrhythmia ↓ CO, ↑ PCWP, ↑ peripheral vascular resistance (PVR),↑ CVP Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com Cardiogenic shock treatment - =Answer>> Treat underlying cause. Support cardiac output with inotropic agents. Support oxygenation. May need IABP. Hypovolemic shock treatment - =Answer>> Treat underlying problem. Volume replacement (crystalloids preferred over colloids (D5W, NS, LR)). Transfuse PRN. Hypovolemic shock definition and causes - =Answer>> Inadequate circulating volume leading to multiple organ failure. Common causes: acute hemorrhage, severe dehydration, severe burns ↓ CO, ↓ PCWP, ↑ peripheral vascular resistance (PVR),↓ CVP Obstructive shock definition and causes - =Answer>> Obstructed ventricular filling and/or filling of the great vessels results in inadequate cardiac output Examples: pulmonary embolus, tension pneumothorax, cardiac tamponade ↓ CO, ↓ PCWP, ↑ peripheral vascular resistance (PVR),↑ CVP Obstructive shock treatment - =Answer>> Relieve obstruction. Volume replacement Distributive shock causes - =Answer>> Excessive vasodilation & altered distribution of blood flow. Common causes: septic shock, anaphylactic shock, neurogenic shock Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com ✤Stage A: Patients at high risk for developing HF in the future but no functional or structural heart disorder. ✤Stage B: a structural heart disease but no symptoms at any stage. ✤Stage C: structural heart disease with prior or current symptoms of heart failure ✤Stage D: advanced, refractory heart failure requiring hospital-based treatments The New York Heart Association has classes of heart failure that describe: - =Answer>> How bad a patient's symptoms of HF are. Patients can move up or down in these classes. ✤Class I: no limitation on physical activity; there are no overt symptoms ✤Class II: slight physical activity limitation; the patient is comfortable at rest or but normal physical activity causes symptoms. ✤Class III: marked limitation of physical activity; the patient is comfortable only at rest. ✤Class IV: unable to perform any physical activity without discomfort and symptoms; symptoms are present at rest. Lifestyle modifications for HTN and dyslipidemia - =Answer>> Weight reduction, diet rich in produce and low in saturated fat (DASH diet), reduce sodium intake, aerobic physical activity, moderation of alcohol Normal blood pressure - =Answer>> 90-120/60- When to start HTN medications - =Answer>> Systolic 140 OR diastolic 90 Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com Hypertensive urgency/emergency BP: - =Answer>> Systolic 180 OR diastolic 120 HTN emergency is that blood pressure AND acute target organ ischemia/damage (ACS, pulmonary edema, encephalopathy, papilledema, proteinuria, hematuria) BP goal for hypertensive patients - =Answer>> 130/ For hypertensive urgency use: - =Answer>> Captopril 12.5- 200 mg PO TID Common IV meds for hypertensive emergency - =Answer>> Nitroprusside 0.25-10 mcg/kg/min Labetalol 20-80 mg IV push q10min Nicardipine 5-15 mg/hour Nitroglycerin 5-1000 mcg/min Esmolol (big loading dose) Hydralazine 10-20 mg q20min For a patient with poorly controlled HTN, which cold medicine can they take? - =Answer>> Guaifenesin Treatment for UA/NSTEMI - =Answer>> - Nitrates (SL, PO, topical, IV)
- Beta blockers (PO), use IV if ongoing pain or HTN; use CCB if pt can't tolerate beta blockers d/t bronchospasm
- ACEI or ARB if HF or EF<40% and SBP>100 mm Hg
- Morphine for resistant symptoms or if pulmonary edema
- Oxygen
- Aspirin 324mg crushed
- ADP-receptor blocker (clopidogrel, prasugrel, or ticagrelor)
- Heparin, if admitted Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱
